| NPI | 1699074435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZBETH SAM Director Of Clinical Services 703-829-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004060) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |